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Active NPI 1740385913 Individual Practitioner Female Practitioner

Dr. Vickie Stark , MD

Pediatrics • Henderson, NV

Professional Overview & Biography Verified Profile Summary

Dr. Vickie Stark, MD is a registered healthcare professional specializing in Pediatrics in Henderson, NV. Practice services are available at 2845 SIENA HEIGHTS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2845 Siena Heights Dr

Henderson, NV 890524153

Telephone 7028775099
Associated Practice Facility / Clinic
🏢 Southwest Medical Associates Facility NPI 1881661411

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Henderson, NV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
59 Specialists

Practicing in Henderson, NV (391 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-03-25
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License NV 11270

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1740385913 (NV)
Medicaid State Provider ID
100505591 (NV)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Dino Lorenzo Dy , MD

Internal Medicine

NPI 1427672765

Doctor of Medicine (M.D.)

NPI 1447238100

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location March 25, 2024

Registered at 2845 SIENA HEIGHTS DR, HENDERSON, NV 890524153 (Tel: 7028775099)

NPI Profile Active June 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2016

Registered at 4750 W OAKEY BLVD, LAS VEGAS, NV 891021535 (Tel: 7028778600)

📍
Updated Business Mailing Address June 06, 2016

Registered at PO BOX 15645, LAS VEGAS, NV 891145645 (Tel: 7028775306)

👤
Provider Name / Credentials Updated June 06, 2016

Recorded as VICKIE STARK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2016

Pediatrics (License #11270 in NV)

🟢
Initial NPI Registration & Enumeration September 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740385913
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2006
Last Update: March 25, 2024
Sole Proprietor: No

Mailing Address

Po Box 15645

Las Vegas, NV 891145645

Phone: 7028775306

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.